The role of physical design and informal communication

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Figure 36. Mean RN and GN stress survey responses................................................ 100 Figure 37. Mean systolic and diastolic blood pressure by week................................ 104 Figure 38. Mean diastolic blood pressure and competency by week......................... 104 Figure 39. Mean systolic blood pressure and competency by week........................... 105 ix
LIST OF TABLES Table 1. Overall percent & frequency of each task and average frequency per 8-hour shift................................................................................................ 68 Table 2. Frequency of tasks for each week of data collection...................................... 71 Table 3. Total time, percentage of total time, average time per task, and average time per task per 8-hour shift............................................................ 72 Table 4. Overall percent & frequency of who the GN interacted with and average frequency per 8-hour shift................................................................. 74 Table 5. Weekly frequency of who the GN interacted with......................................... 75 Table 6. Total time, percent of total time, average time, and average time per 8-hour shift the GN spent with each person................................................... 76 Table 7. Overall percent, frequency, and frequency per 8-hour shift of where the GN interacted........................................................................................... 79 Table 8. Total time, average time, and average time per 8-hour shift the GN spent interacting in each location................................................................... 81 Table 9. Task frequency by location............................................................................ 82 Table 10. Frequency of task by location with tasks grouped to emphasize knowledge transfer ...................................................................................... 85 Table 11. Frequency of task by person........................................................................ 87 Table 12. Frequency of task by person with tasks grouped to emphasize knowledge transfer....................................................................................... 87 Table 13. Frequency of location by person.................................................................. 89 Table 14. Frequency of person by location.................................................................. 90 Table 15. Mean GN stress ratings, grouped by Gray-Toft & Anderson categories ..................................................................................................... 99 Table 16. Change in GN stress ratings from T1 to T2 grouped by Gray- Toft & Anderson categories........................................................................ 102 x
Page 1 and 2: THE ROLE OF PHYSICAL DESIGN AND INF
Page 3 and 4: ABSTRACT Graduate nurses experience
Page 5 and 6: Dedicated to my parents, John and L
Page 7 and 8: TABLE OF CONTENTS Biographical Sket
Page 9: LIST OF FIGURES Figure 1. 6N floor
Page 13 and 14: extraordinary opportunity to apply
Page 15 and 16: into the topic of nature as a thera
Page 17 and 18: tiles with sound-absorbing ceiling
Page 19 and 20: infections, pneumonia, cardiac arre
Page 21 and 22: try to gain a better understanding
Page 23 and 24: 1.6.3 Graduate Nurses’ Sense of B
Page 25 and 26: formal face-to-face communication n
Page 27 and 28: interactive and interpersonal learn
Page 29 and 30: • Evidence-based design has the p
Page 31 and 32: concluded that high visibility work
Page 33 and 34: Joseph (2006) cites anecdotal evide
Page 35 and 36: informal learning and communication
Page 37 and 38: 2.3 Site Description Crouse Hospita
Page 39 and 40: primarily composed of the nursing s
Page 41 and 42: o Nursing Students The following no
Page 43 and 44: Meetings were held over a three mon
Page 45 and 46: Figure 2 6N floor plan showing colo
Page 47 and 48: equirements, organizational require
Page 49 and 50: study by Vrijkotte, van Doornen, an
Page 51 and 52: graduate nurse’s strengths and ac
Page 53 and 54: 2.8 Data Analysis Focused interview
Page 55 and 56: CHAPTER 3 RESULTS 3.1 Organizationa
Page 57 and 58: ecause as a visitor entered the uni
Page 59 and 60: Figure 3 6N Floor Plan 48
Page 61 and 62:
Figure 6 View of island work surfac
Page 63 and 64:
Kitchen Locker Room Desk B1 at nurs
Page 65 and 66:
Figure 13 Existing layout prior to
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Figure 15 Wall-mounted chart organi
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3.1.2 Information Management and Te
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nurses and pharmacists and dispense
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Because patients on 6N have a parti
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There is encouragement to learn new
Page 77 and 78:
There is encouragement to learn new
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“Validation,” at five times per
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Average Frequency/8hr 60 50 40 30 2
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3) shows that all interactions were
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Table 4 Overall percent & frequency
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Transit” - 2:59:48. However, the
Page 89 and 90:
Time (hh:mm:ss) 0:02:53 0:02:36 0:0
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Patient Room 28% Nurses Station 25%
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3.3.4 Analysis of Task, Person and
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However, when asked if all of this
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Frequency (%) 50.0 45.0 40.0 35.0 3
Page 99 and 100:
Frequency (%) 45.0 40.0 35.0 30.0 2
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Table 14 Frequency of person by loc
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occurred in equal amounts with the
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experienced by many GNs. Figure 33
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conditions in laymen’s terms. The
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• According to the GN, the greate
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Not enough staff to adequately cove
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Table 16 Change in GN stress rating
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Blood Pressure (mmHg) 121.0 119.0 1
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3.6 Overall Summary of Findings •
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on validation, discussing patient c
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found that a major stressor for nur
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opportunities for informal learning
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unit suggests that designers and ho
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usually leads to expensive renovati
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including off the nursing unit or a
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APPENDIX A Memo Describing Study 12
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APPENDIX B Graduate Nurse Consent F
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• Members of the Cornell research
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_____________________________ _____
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Informed Consent Form for Staff Cro
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Committee on Human Subjects (UCHS)
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Modified Categories for the Clinica
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134
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136
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APPENDIX F Survey Items Pertaining
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APPENDIX G Survey Items Pertaining
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APPENDIX H Survey Items Pertaining
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APPENDIX I Blood Pressure Recording
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APPENDIX J Competency Evaluation Fo
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APPENDIX K Competency Category Defi
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o Expert - interprets labs; consult
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14. Care Plan delegate (using the r
Page 165 and 166:
APPENDIX L Interview Guides 154
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3. Does the current patient:nurse r
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Interview Guide - Orientor Learning
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c. Did staffing levels affect the a
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5. What unique challenges do staff
Page 175 and 176:
CWM Tool Task Category Definitions
Page 177 and 178:
REFERENCES Adams, A., & Bond, S. (2
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Buchanan, J., & Considine, G. (2002
Page 181 and 182:
Godinez, G., Schweiger, J., Gruver,
Page 183 and 184:
Lumsdon, K. (1993). Baby boomers gr
Page 185 and 186:
Stolte, K., & Myers, S. t. (1995).
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